DIETRA DUFFALA TEICHMANN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002543

License Status

CANCELLED

Business

First Name

DIETRA DUFFALA

Last Name

TEICHMANN

Business Name

DIETRA DUFFALA TEICHMANN

Original Issue Date

11/21/1979

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2005